Horizontal Vestibulo-ocular Reflex after Acute Peripheral Lesions
- 1 January 1989
- journal article
- research article
- Published by Taylor & Francis in Acta Oto-Laryngologica
- Vol. 108 (sup468) , 323-327
- https://doi.org/10.3109/00016488909139069
Abstract
We studied the dynamics of the horizontal vestibulo-ocular reflex using a broad range of sinusoidal rotational stimuli in 14 patients with acute unilateral peripheral vestibular lesions. From plots of slow phase velocity (SPV) versus stimulus velocity (phase shifts removed) we calculated the DC offset and gain to ampullopetal (AP) and ampullofugal (AF) stimulation of the remaining intact labyrinth. DC offset values were highly correlated with spontaneous nystagmus SPV values for all frequencis (0.0125–0.8 Hz) and amplitudes (30–120-deg/sec) of stimulation. Mean AP gain values were consistently higher than mean AF values with the greatest difference occurring at low frequencies of stimulation. Saturation nonlinearities were present with AF stimulation at high amplitudes. These findings can be explained by dynamic asymmetries at the level of the primary and secondary vestibular neurons.Keywords
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